A highly complex home care service for COPD in LTOT may reduce the exacerbations and the hospitalizations
L. Di Re, A. Orsini, G. Ariano, G. Boccia, P. Mimotti, A. Scalera, A. Zaccagna, D. De Sanctis, P. Marzano (Teramo, Atri, Giulianova, Italy)
Source: Annual Congress 2011 - Exacerbations and severe chronic respiratory disease: oxygen, rehabilitation, admission to hospital and palliative care
Disease area: Airway diseases
Abstract Background: In Italy, the management of patients treated at home with oxygen is done with different degrees of complexity: from a basic model that provides only home delivery of oxygen to a complex model that also provides further services.Aims : The aim of this prospective study is to confirm whether a LTOT implemented with additional services, may reduce the number and length of the hospitalizations and the number of the exacerbations.Methods : 98 patients with COPD in CRF, candidate to LTOT, were enrolled and randomized in two arms (48 basic and 48 complex). The ²complex² arm was treated by a high profile service and the ²basic² arm solely by home oxygen delivery. All patients were followed for a period of eighteen months.Results : The patients treated with complex profile service had a lower number of hospitalizations, shorter length of the hospitalizations and reduced number of exacerbations.
Conclusions : This study confirms the hypotesis that a LTOT ²High Profile² service, may have greater effectiveness than a ²Basic², in reducing the exacerbations rate, the number and the length of the hospitalizations of the COPD patients.
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L. Di Re, A. Orsini, G. Ariano, G. Boccia, P. Mimotti, A. Scalera, A. Zaccagna, D. De Sanctis, P. Marzano (Teramo, Atri, Giulianova, Italy). A highly complex home care service for COPD in LTOT may reduce the exacerbations and the hospitalizations. Eur Respir J 2011; 38: Suppl. 55, 1240
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